Open reduction and internal fixation vs nonsurgical treatment in displaced midshaft clavicle fractures: A meta-analysis
Journal of Orthopaedic Trauma Jul 01, 2018
Ahmed AF, et al. - Authors compared open reduction and internal fixation (ORIF) and nonsurgical treatment outcomes in displaced midshaft clavicle fractures. Findings suggested an association of significant reduction in nonunions and favorable early functional outcomes with ORIF. However, they noted a similarity between late functional outcomes, subsequent surgeries, and pain scores to those of nonsurgical treatment. Nonetheless, subsequent elective plate removals were seen in patients treated with ORIF, nonsurgically treated patients had more surgical fixations for nonunions. An inconsistent evidence was found regarding the best treatment for displaced midshaft clavicle fractures.
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